Ubuhlungu obukhulu besisu? Funda ngalesi simo esiyingozi esibizwa ngokuthi i-Peritonitis!

Zicabange ngokuzumayo uzwa ubuhlungu obukhulu besisu. Ekuqaleni, buqala njengobuhlungu obungabekezeleleki, kodwa ngemva kwesikhashana, ubuhlungu buba obungabekezeleleki. Ubuhlungu buba bukhulu kangangokuthi awukwazi ngisho nokuhamba, ukuma uqonde, noma ukuhambisa umzimba wakho. Abantu abaningi bacabanga ukuthi lokhu ubuhlungu besisu obuvamile, i-gastritis. Kodwa lokhu kungaba uphawu lwesimo esibi kakhulu, ngisho nesisongela ukuphila esibizwa ngokuthi i-Peritonitis . Ngakho-ke namuhla, ake sixoxe ngalesi simo esiyingozi.

Kalula nje, iyini i-Peritonitis?

Kunezitho eziningi ezibalulekile ngaphakathi kwesisu sethu, njengesibindi, amathumbu, isisu, kanye nesibeletho. Lezi zitho zivikelwe futhi zibanjwe ndawonye yi-membrane encane, njengeshidi le-polythene, elimboza udonga lwangaphakathi lwesisu. Kwezokwelapha, lokhu sikubiza ngokuthi i-peritoneum .

I-Peritonitis iwukuba igciwane, njengebhaktheriya, lingena ku-peritoneum, litheleleke, livuvuke kakhulu, bese livuvukala. Lesi yisimo esiphuthumayo sezokwelapha . Ngoba lokhu kutheleleka kungasakazeka ngokushesha emzimbeni wonke futhi kube yingozi empilweni. Ngakho-ke, kubaluleke kakhulu kuwe nakubathandekayo bakho ukwazi kahle ukuthi kuyini lokhu.

Ziyini izimpawu ze-peritonitis?

Izimpawu zingase zihluke kumuntu nomuntu kulesi simo. Kodwa-ke, kunezimpawu ezithile ezivamile okufanele uzinake ngokukhethekile. Uma eyodwa noma ngaphezulu yalezi zimpawu zivela ngokuzumayo, ungayizibi.

Kungani i-Peritonitis ivela? Ziyini izimbangela?

Kulungile, manje ake sibheke ukuthi ukutheleleka kungangena kanjani kulolu lwelwesi oluvikelayo olubizwa ngokuthi i-peritoneum. Kunezindlela eziningana eziyinhloko lokhu okungenzeka ngazo.

1. Ukusabalala kokutheleleka kusuka kwesinye isitho (i-Secondary Peritonitis)

Lena yimbangela evame kakhulu. Okusho ukuthi, ukutheleleka kwesinye isitho esiswini kusakazekela e-peritoneum ngenxa yokuqhekeka noma ukubhoboka kwaleso sitho. Cabanga ngento efana nale...

• I-Appendicitis: Njengoba abantu abaningi bazi, i-appendicitis ukuvuvukala kwe-appendix. Uma ingelashwa ngokushesha, ingaqhuma. Bese amabhaktheriya nokuqukethwe kwayo kusakazeka esiswini sonke, okubangela i-peritonitis. Lena imbangela eyinhloko ye-peritonitis.
• Ukubhoboka kwesilonda sesisu/amathumbu: Uma izilonda zikhula esiswini futhi zijule ngokwanele ukubangela imbobo odongeni lwesisu, i-asidi yesisu namagciwane kungavuza esiswini.
• I-Cholecystitis noma i-pancreatitis: Uma ukuvuvukala kwalezi zitho kuba kubi kakhulu, zingaba nezimbobo, okuvumela i-bile evela enyongweni noma ama-enzyme avela enyongweni ukuba angene esiswini.
• Izinkinga zezifo zabesifazane: Ukutheleleka kungasakazeka nase-peritoneum ngenxa yezimo ezifana nokukhulelwa kwe-ectopic ku-fallopian tube, ukuqhekeka kwe-tube, noma isifo esibi sokuvuvukala kwe-pelvic.
• Ukulimala Kwesisu Okubuhlungu: Uma isisu silimele, njengasengozini yemoto, ekuweni, noma ekulimaleni, amathumbu angonakala futhi amabhaktheriya angavuza.
• Ngemva kokuhlinzwa: Ngemva kokuhlinzwa kwesisu, kunethuba elincane lokuthi ukutheleleka kuzongena ngenxeba.

2. Ezinye izimbangela (I-Peritonitis Eyinhloko Neyekhemikhali)

I-peritonitis ingenzeka nangezinye izizathu, njengokuqhekeka kwesitho, njengoba kushiwo ngenhla. Lokhu akuvamile.

• Ama-Ascites: Izimo ezifana ne-cirrhosis yesibindi, eminye imidlavuza, noma isifo senhliziyo zingabangela isisu ukuthi sigcwale uketshezi. Lolu ketshezi oluningi lungatheleleka kalula ngamagciwane, okuholela esimweni esibizwa ngokuthi i-Spontaneous Bacterial Peritonitis (SBP) .
• Ngokwelashwa kwezokwelapha: Ngesikhathi sokwelashwa kwe-peritoneal dialysis kweziguli ezinenkinga yezinso, amabhaktheriya ngezinye izikhathi angangena ngepayipi lesisu. Le ngozi ikhona nasezigulini eziphakelwa ngamapayipi ngekhala.
• I-Chemical Peritonitis: Lokhu kubangelwa ukuvuza kwamakhemikhali angewona amagciwane, kodwa akhona emzimbeni kodwa ayingozi ku-peritoneum. Isibonelo, i-asidi yesisu, i-bile, ama-enzyme e-pancreatic, njll. Uma lokhu kungena ku-peritoneum, kubangela ukuvuvukala.

Kungani i-Peritonitis iyingozi? Yiziphi izinkinga?

I-Peritonitis akuyona into engelapheka kalula. Uma ingelashwa ngokushesha, ingaholela ezinkingeni ezinkulu nezisongela ukuphila.

Kalula nje, i-sepsis ilapho impendulo yesimiso somzimba sokuzivikela ekuthelelekeni iphuma ngaphandle kokulawula bese iqala ukulimaza izicubu nezitho zomzimba. Lokhu kungabangela umfutho wegazi ophansi ngendlela eyingozi, ukuwohloka kokujikeleza kwegazi, ukwehluleka kwezitho zomzimba, ngisho nokufa. Yingakho i-Peritonitis iyisimo esiphuthumayo sezokwelapha.

Ezinye izinkinga:

• Ukuphelelwa amanzi emzimbeni kanye nokungalingani kwe-Electrolyte: Izinto ezifana nokuhlanza kanye nomkhuhlane zibangela ukuthi umzimba ulahlekelwe amanzi kanye nosawoti obalulekile.
• I-Paralytic Ileus: Umsebenzi wamathumbu ungase ume okwesikhashana.
• Ukunamathela Kwesisu: Ngemva kokuba ukutheleleka sekupholile, izitho ezingaphakathi kwesisu zinganamathelana, okungaholela ekuvinjweni kwamathumbu esikhathini esizayo.
• Imiphumela kwezinye izitho zomzimba: Uma ukutheleleka kuba kubi kakhulu, izitho ezifana nesibindi nezinso nazo zingathinteka yilokhu kutheleleka.

Lesi sifo sitholakala futhi selashwa kanjani?

Udokotela usithola kanjani lesi sifo?

Uma uya esibhedlela, ikakhulukazi uMnyango Wezimo Eziphuthumayo (ETU) unalezi zimpawu, udokotela uzoqala akubuze ngezimpawu zakho. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba, ikakhulukazi ukuhlolwa okujulile kwesisu sakho. Bazohlola ukuthi isisu sakho siqinile, sivuvukile, noma sibuhlungu yini uma usithinta. Ukuhlolwa okulandelayo kungacelwa ukuqinisekisa ukuxilongwa:

• Ukuhlolwa Kwegazi: Izinto ezifana ne-White Blood Cell Count ziyahlolwa ukuze kubonakale ukuthi kukhona yini ukutheleleka emzimbeni.
• Ukuhlolwa kwezithombe: Kungase ku-odwe i-CT scan , i-ultrasound scan , noma i-MRI scan ukuze kubonwe ukuthi kwenzekani ngaphakathi esiswini. Lokhu kungasiza ekunqumeni ukuthi isitho sivuvukele noma ukuthi uketshezi luyanqwabelana.
• I-Paracentesis: Uma isisu sigcwele uketshezi, kufakwa inaliti encane bese kuthathwa isampula yoketshezi ukuze kuhlolwe ukutheleleka nokunquma ukuthi yimaphi amagciwane akhona.
• I-Laparoscopy: Ngezinye izikhathi, uma ukuxilongwa kungacacile, kungadingeka ukuthi kufakwe ikhamera encane esiswini ukuze ibone ingaphakathi ngqo.

Yiziphi izindlela zokwelapha?

I-Peritonitis yisimo esidinga ukulaliswa esibhedlela. Ukwelashwa kunemigomo emithathu eyinhloko: ukulawula ukutheleleka, ukwelapha inkinga eyisisekelo ebangele ukutheleleka, nokuvimbela izinkinga ezingaba khona.

1. Ama-antibiotic: Okokuqala, ama-antibiotic e-broad-spectrum anikezwa ngemithambo yegazi kanye nosawoti. Lokhu kusiza ukulawula ukutheleleka okusakazeke kuwo wonke umzimba. Ngemuva kwalokho, ngemva kokuhlolwa kokuhlonza amagciwane athile abangela ukutheleleka, kunikezwa i-antibiotic ethile.

2. Ukuhlinzwa: Ukuhlinzwa kuvame ukudingeka. Ikakhulukazi uma i-appendicitis iqhumile noma imbobo yakheke emathunjini, ingxenye eyonakele kumele isuswe futhi ingaphakathi lesisu kumele lihlanzwe kahle futhi lihlanzwe.

3. Ukunakekelwa Okusekelayo: Lokhu kuhlanganisa ukunikeza usawoti, imithi yokwelapha izinhlungu, kanye nomoya-mpilo uma kudingeka. Ngezinye izikhathi, ipayipi le-nasogastric lingafakwa ngekhala ukuze kukhishwe okuqukethwe esiswini.

Kuthatha isikhathi esingakanani ukuphulukiswa? Kufanele ufune nini usizo lwezokwelapha ngokushesha?

Isikhathi sokululama siyahlukahluka kumuntu nomuntu. Kuncike ekutheni uthola ukwelashwa ngokushesha kangakanani, ubukhulu bokutheleleka, kanye nempilo yakho iyonke. Uma ukwelashwa kuqalwe kusenesikhathi, ungase ululame emavikini ambalwa. Kodwa-ke, uma uke wahlinzwa noma uma imbangela eyisisekelo (njenge-cirrhosis) imbi kakhulu, kungathatha isikhathi eside ukuthi ululame ngokugcwele.

Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Noma shayela isevisi ye-ambulensi ka-1990. Uma une-peritonitis, umzuzu ngamunye ubalulekile . Ukuthatha isinyathelo ngokushesha kungasindisa impilo yakho.